Dental treatment under anesthesia in DentisTree clinic
Advantages of sedation:
quality treatment process;
no stress;
opportunity to conduct complex treatment without discomfort for a client;
ORAL SANATION
It includes treatment of dental caries and its complications - pulpitis and periodontitis, removal of defects in the tooth tissues of non-carious nature by filling, correction of deformed teeth and jaws, prosthetics, removal of tartar, removal of infection and intoxication foci, teeth extraction, orthodontic and prosthetic treatment.
ALGORITHM FOR ORAL SANATION UNDER SEDATION
Patient examination (consultation, diagnosis)
Conducting additional examination
ALLERGY TESTING
- Ubistesin forte
- Ubistesin
- Ultracaine
- Septanest
- Articaine
- Alphacaine
- Scandicaine
- Mepivacaine
- Scandinisba
- Lidocaine 2%
- Novocaine 2%
Consultation (treatment plan discussion)
Contract signing
Examination of an anesthesiologist resuscitator(the day before intervention).
Mandatory report and X-ray examination of lungs (examination of thymus gland)
DENTAL SANATION
ONLY in the morning
UNDER FASTING CONDITIONS
X-RAY EXAMINATION
Lungs X-ray 7 years old Patient
![](/wp-content/uploads/2019/08/rentgen-legk.jpg")
Targeted, Patient 8 years old
OPTG Patient 10 years old
ALGORITHM FOR ORAL SANATION UNDER SEDATION
Oral hygiene (photo protocol)
Isolation with a cofferdam
Safety: the cofferdam system protects your child from accidental swallowing of broken teeth, small tools, taste of bitter and acidic medicines on the tongue and prevents damage to the cheeks and tongue by rotating tools.
Local infiltration anesthesiais effective in the area which it was introduced in. After the injection all nerve impulses are blocked in that place, the patient does not feel pain and discomfort during dental manipulations.
Caries treatment
Pulpitis treatment
Crowning
Extraction
THE EFFECT OF SEDATION (ANESTHESIA) ON A CHILD'S BODY
It is common to hear that sedation has a "very harmful” effect on children. You should agree that this is rather an abstract statement which has the property to become fixed in the minds of many parents who sometimes prefer to endure many days of suffering of a baby or forcibly put him in a dentist's chair if a child gets hysterical just thinking about the dentist. Refusing to sedate is much more dangerous than agreeing to use it because in the future it can lead to anxiety disorders (very often), stuttering, and even (there have been cases) enuresis - diseases that even experienced doctors have difficulty to cope with.
And age is not important in this case: small children, adult men and women can suffer from dentophobia. Such patients are recommended to use sedation. "Sleeping dentistry" is becoming more and more popular. However, not everyone knows about it. What kind of sedation methods are used, contraindications, how to prepare for the procedure – we will answer these questions further.
Advantages of sedation:
quality treatment process;
no stress;
opportunity to conduct complex treatment without discomfort for the client.
Types of sedation:
There are two types of sedation: moderate and deep.
Under moderate sedation a person is able to maintain verbal contact with the doctor but does not feel stress and fear.
Deep sedation is a complete fall into medication sleep.
There are also three forms of anesthesia:
Intranasal
Inhalation
Intravenous
In case of intranasal sedation, the soothing drops are dropped into a child`s nose. The child calms down, becomes indifferent to what is happening around him or her, or may even fell into a moderate sleep. Intranasal sedation can be used alone or in conjunction with other sedation techniques.
During inhalation sedation, a mask is put on a child's face, through which a sedative and analgesic gas - sevoran - is supplied. This happens in the form of a game and allows you to keep your baby in a dental chair and blunt his feelings. The falling asleep occurs in a few breaths. Awakening occurs in 1 - 5 minutes after the supply of anesthetic is stopped. It is most often used for babies aged 1 to 10 years old.
Older children and adults are usually given intravenous sedation. A thin plastic needle is placed in the vein and modern sleeping pills and painkillers with maximum safety and manageability are injected through it. The most commonly used drugs are nirfol and diazepam. In some cases, it is necessary to use narcotic analgesics. Falling asleep occurs within a few seconds. Awakening depends on the duration of sedation and patient characteristics - from 2-3 to 30 minutes.
When is sedation contraindicated?
Acute infectious diseases (including acute respiratory infections);
recent vaccination (1 month);
body weight deficiency (1 month);
uncompensated heart disease and heart failure in a child;
pregnancy.
All these contraindications are relative. This means that after the treatment of the underlying disease or a certain period of waiting there is a possibility to perform dental treatment under anesthesia.
Now you are aware of what dental sedation, contraindications and advantages of this procedure are. We provide professional medical support, and the choice is yours!
How to prepare for sedation?
preliminarily undergo anesthesia testing and face-to-face consultation with an anesthesiologist;
to carry out the necessary tests in accordance with the anesthesiologist's prescription;
on the day of treatment, eat liquid food no later than 4 hours before the treatment, transparent liquid - 2 hours;
for adults - do not drink alcohol the day before.
What happens after?
Sedatives are easily and quickly removed from the body. The patient usually wakes up in 1-5 minutes after the end of the manipulations and is ready to leave the clinic in 2-3 hours.
THE EFFECT OF SEDATION (ANESTHESIA) ON A CHILD'S BODY
When is sedation necessary?
the patient suffers from dentophobia - fear of dental procedures. This phenomenon is not harmless - panic, dizziness, tension and shivering can greatly complicate the treatment process;
there is a feeling of great discomfort during dental procedures (acute vomiting reflex, local anesthesia does not give sufficient analgesic effect);
dental treatment for children - under general anesthesia it is easier to do treatment because it does not cause fear of instruments and allows you to keep the little patient in a still position.
little active children under the influence of sedation can quietly watch the cartoon while the doctor does "magic" over his teeth;
a need to perform complex dental treatment. Sedative anesthesia allows to spend up to 8-12 hours in the chair of the dentist;
dental procedures for a person with a cardiac pathology - there may be sudden blood pressure drops and heart pain, fainting;
Also, people who want to have comfortable dental manipulations without pain and stress can take advantage of sedation during dental surgeries. In case of psycho-emotional disorders, mental and neurological diseases (epilepsy, cerebral palsy, Down's syndrome and others), sedation is absolutely suitable.
